European journal of physical and rehabilitation medicine
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Eur J Phys Rehabil Med · Jun 2015
Historical ArticleThe first world war drives rehabilitation toward the modern concepts of disability and participation.
The First World War produced a huge number of disabled soldiers. During the war, surgeons realized that it was not enough to merely treat the limbs of the wounded soldiers; it was also necessary to train them to use their remaining abilities to their greatest capacity. Governments at the same time realized that such a high number of veterans created a financial burden, by entitling disabled veterans to full healthcare, raising the issues of social welfare. ⋯ The experience gained in the treatment of war victims markedly enriched rehabilitation techniques, but overall the First World War helped engender the concept of rehabilitative programs to assist disabled veterans reintegrate in the workplace, thus laying the foundations of the modern concept of participation at a social level. In the centenary of Italy's entry into the First World War, it is worth underlining just how much hindsight affords us a new perspective on Physical Medicine and Rehabilitation. It reminds us that rehabilitation is not merely the role of medicine, but forms part of a multifaceted approach involving societal roles and expectations, regardless of the psychological and physical impairments suffered by the individuals concerned.
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Eur J Phys Rehabil Med · Apr 2015
Randomized Controlled TrialMobilization versus manipulations versus sustain apophyseal natural glide techniques and interaction with psychological factors for patients with chronic neck pain: randomized controlled trial.
Three different types of manual therapy techniques for patients with neck pain and relationship with psychological factors has not been evaluated. ⋯ The findings provide preliminary evidence to support that three different techniques have similar immediate effects over neck pain and while under high anxiety levels a better outcome is expected after mobilization intervention, under low anxiety levels a better prognosis is expected after manipulation and SNAG intervention.
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Eur J Phys Rehabil Med · Apr 2015
Observational StudyPredictors of outcome following a short multimodal rehabilitation program for patients with whiplash associated disorders.
Patients with whiplash associated disorders (WAD) may present with physical and psychological symptoms which persist long after the initial onset of pain. Several studies have shown that therapeutic exercise for motor and sensorimotor control combined with manual therapy in a multimodal rehabilitation (MMR) program is effective at improving pain and disability in patients with neck disorders. To date, no studies have investigated which self-reported physical or psychological symptoms are predictive of response to this MMR program. ⋯ This knowledge may assist clinicians in predicting outcome following a MMR program inclusive of specific exercise therapy and manual therapy in patients with WAD.
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Eur J Phys Rehabil Med · Apr 2015
Postural control and balance self-efficacy in women with fibromyalgia: are there differences?
Fibromyalgia (FM) is a rheumatic disease characterized by chronic widespread pain and symptoms such as fatigue, sleep disturbances, cognitive difficulties, and depression. Postural instability is a debilitating disorder increasingly recognized as part of FM. ⋯ Postural control and balance self-efficacy needs to be assessed in patients with FM and the treatment goals should be the improvement of postural control and balance self-efficacy.
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Eur J Phys Rehabil Med · Apr 2015
Kinesiophobia negatively influences recovery of joint function following total knee arthroplasty.
The influence of kinesiophobia on disability in patients with knee osteoarthritis is known, but its influence on functional recovery after total knee arthroplasty remains unexplored. ⋯ WE suggest that programs aimed at the management of such cognitive and behavioral factors which contribute to activity avoidance during rehabilitation are likely to improve functional recovery after TKA.